Emergency call

Oral & Maxillo facial surgeries

  • Home
  • Oral & Maxillo facial surgeries

Inter maxillary fixation(IMF)

Intermaxillary fixation (IMF) is an age-old procedure which is used for treatment of fractures involving maxillomandibular complex. Conventionally various types of tooth mounted devices like arch bars, dental and interdental wiring, metallic and nonmetallic splints are used to achieve intermaxillary fixation.


Open reduction

Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones.

It’s only used for serious fractures that can’t be treated with a cast or splint. These injuries are usually fractures that are displaced, unstable, or those that involve the joint.

“Open reduction” means a surgeon makes an incision to re-align the bone. “Internal fixation” means the bones are held together with hardware like metal pins, plates, rods, or screws. After the bone heals, this hardware isn’t removed.

  • Generally, ORIF is an urgent surgery. Your doctor might recommend ORIF if your bone:
  • breaks in multiple places

    moves out of position

    sticks out through the skin

    ORIF may also help if the bone was previously re-aligned without an incision — known as closed eduction — but didn’t heal properly.

    The surgery should help reduce pain and restore mobility by helping the bone heal in the right position.

    Despite the increasing success rate of ORIF, recovery depends on your:
  • age
  • health condition
  • post-surgery rehabilitation
  • severity and location of the fracture
  • Orthognathic surgeries

    Orthognathic surgery is also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and lower face related to structure, growth, airway issues including sleep apnea, TMJ disorders, malocclusion problems primarily arising from skeletal disharmonies, other orthodontic dental bite problems that cannot be easily treated with braces, as well as the broad range of facial imbalances, disharmonies, asymmetries and malproportions where correction can be considered to improve facial aesthetics and self-esteem.

    Originally coined by Harold Hargis, it was more widely popularised first in Germany and then most famously by Hugo Obwegeser who developed the BSSO operation. This surgery is also used to treat congenital conditions such as cleft palate.

    The "jaw osteotomy", either to the upper jaw or lower jaw (and usually both) allows (typically) an oral and maxillofacial surgeon to surgically align an arch of teeth, or the segment of a dental arch with its associated jawbone, relative to other segments of the dental arches. Working with orthodontists, the coordination of dental arches has primarily been directed to create a working occlusion. As such, orthognathic surgery is seen a secondary procedure supporting a more fundamental orthodontic objective.


    Excision of cyst and tumour removal

  • What are oral cysts and tumors?
  • Oral cysts and tumors are relatively rare lesions (sores) that develop in the jawbone or the soft tissues in the mouth and face. Our Oral and Maxillofacial surgeons evaluate, diagnose and treat cysts and tumors in and around the head and neck. This includes lesions in the jaw bones, salivary glands, lips, cheeks, and teeth.

  • What is an oral cyst?
  • A cyst is an abnormal sac or pocket in bone or soft tissues which may contain fluid. There are many different kinds of cysts. The most important reason for removing a cyst is that over time they increase in size and may become harmful. Very large cysts may weaken the lower jaw bone to the point where it can break more easily. Teeth beside a large cyst may become loose and move around. In some cases, cysts may destroy the tooth structure – this is called root resorption.

  • What is an oral tumor?
  • A tumor is a solid or semi-solid mass within bone or soft tissue that is made of cells that are different than cells usually found in that location. There are several types of soft-tissue tumors which may be found on the lips, cheeks, tongue, mouth floor (under the tongue), and gums. Before starting treatment for a tumor, you will have a biopsy.

    How do I know if I have an oral cyst or tumor?
    Facial and jaw cysts and tumors often do not have any symptoms. Your doctor or dentist may discover them during regular check-ups or x-rays. When they do cause symptoms, they usually look like a non-painful bump or lump. These cysts and tumors are often benign (not cancer), but all tumors in the head and neck must be examined by our surgeons as soon as possible. After a surgeon examines the cyst or tumor, we will often recommend a panorex x-ray (an x-ray of your mouth and jaw), CT scans (an X-ray showing the inside of a body part), or an MRI of your head (test that uses a strong magnet in order to create detailed images of organs and tissues within the body) to determine what kind of treatment you need.
  • What treatment options are available?
  • Your treatment options vary depending on your symptoms, the type of cyst or tumor you have, and its stage of growth. In rare cases the tumors or cysts can be treated only with medications, but most cases usually require surgery.

    Jaw fracture managment

    Treatment for a jaw fracture or break might also require surgery, depending on the extent of the injury. Clean breaks may heal on their own while your jaw is immobilized. Multiple fractures of the jawbone or displaced breaks in the part of the bone that's pushed off to one side may require surgical repair.